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Open Access 10-08-2023 | Pancreatectomy | ASO Author Reflections

ASO Author Reflections: Gastric Venous Congestion After Total Pancreatectomy is an Underestimated Complication

Authors: Thomas F. Stoop, MD, André von Gohren, BSc, Jennie Engstrand, MD, PhD, Ernesto Sparrelid, MD, PhD, Stefan Gilg, MD, PhD, Marco Del Chiaro, MD, PhD, FACS, Poya Ghorbani, MD, PhD

Published in: Annals of Surgical Oncology | Issue 12/2023

Excerpt

A renewed interest in recent years has evolved for total pancreatectomy (TP) for various oncological, technical, and safety indications¹ owing to improved surgical outcome and manageable metabolic insufficiencies with acceptably reduced quality of life.² However, a rarely studied/mentioned complication after TP is gastric venous congestion (GVC), despite its seemingly high incidence of up to 28% and possible association with mortality.³ …

Del Chiaro M, Rangelova E, Segersvard R, Arnelo U. Are there still indications for total pancreatectomy? Updates Surg. 2016;68(3):257–63. https://doi.org/10.1007/s13304-016-0388-6.CrossRefPubMedPubMedCentral

Stoop TF, Bergquist E, Theijse RT, et al. Systematic review and meta-analysis of the role of total pancreatectomy as an alternative to pancreatoduodenectomy in patients at high risk for postoperative pancreatic fistula: Is it a justifiable indication? Ann Surg. 2023. https://doi.org/10.1097/SLA.0000000000005895.CrossRefPubMed

Loos M, Mehrabi A, Ramouz A, et al. Gastric venous congestion after total pancreatectomy is frequent and dangerous. Ann Surg. 2022;276(7):e896-904. https://doi.org/10.1097/SLA.0000000000004847.CrossRefPubMed

Stoop TF, Von Gohren A, Engstrand J, et al. Risk factors, management, and outcome of gastric venous congestion after total pancreatectomy: An underestimated complication requiring standardized identification, grading, and management. Ann Surg Oncol. 2023. https://doi.org/10.1245/s10434-023-13847-z.CrossRefPubMed

Mehrabi A, Loos M, Ramouz A, et al. Gastric venous reconstruction to reduce gastric venous congestion after total pancreatectomy: study protocol of a single-centre prospective non-randomised observational study (IDEAL Phase 2A)—GENDER study (Gastric v EN ous D rainag E R econstruction). BMJ Open. 2021;11(10):e052745. https://doi.org/10.1136/bmjopen-2021-052745.CrossRefPubMedPubMedCentral

Title: ASO Author Reflections: Gastric Venous Congestion After Total Pancreatectomy is an Underestimated Complication
Authors: Thomas F. Stoop, MD
André von Gohren, BSc
Jennie Engstrand, MD, PhD
Ernesto Sparrelid, MD, PhD
Stefan Gilg, MD, PhD
Marco Del Chiaro, MD, PhD, FACS
Poya Ghorbani, MD, PhD
Publication date: 10-08-2023
Publisher: Springer International Publishing
Keywords: Pancreatectomy
Gastrectomy
Gastrectomy
Published in: Annals of Surgical Oncology / Issue 12/2023
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-023-13979-2

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ASO Author Reflections: Gastric Venous Congestion After Total Pancreatectomy is an Underestimated Complication

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